【摘要】 目的探讨脑挫裂伤伴弥漫性脑肿胀的临床特点和治疗。方法对48例脑挫裂伤合并弥漫性脑肿胀患者的临床表现、影像学特点、治疗情况及预后进行回顾性分析。结果 28例患者(58.3%)行保守治疗,其中恢复良好26例,死亡2例;20例(41.7%)行手术治疗,其中恢复良好9例,中度残疾5例,重度残疾2例,死亡4例。结论脑挫裂伤伴弥漫性脑肿胀早期病情多不严重,但变化快,突然恶化;观察环池的变化,把握好手术时机,可以提高治愈率,降低致残率及病死率。更多还原

【Abstract】 Objective To investigate the clinical features and treatment of cerebral contusion and laceration complicated by diffuse brain swelling. Methods The clinical manifestations,imaging characteristics,treatment and prognosis of 48 patients with cerebral contusion and laceration complicated by diffuse brain swelling were retrospectlively analyzed. Results Among the 28(58.3%)patients who underwent conservative treatment, 26 had good recovery and 2 died. Among the 20(41.7%)patients who underwent surgery treatment, 9 had good recovery, 5 had moderate disability, 2 had severe disability and 4 died. Conclusion Early disease condition is not severe, but changes quickly and worsens suddenly in patients with cerebral contusion and laceration complicated by diffuse brain swelling. The monitoring of ambient cistern plays an important guiding role for timely orparation, which can improve the cure rate and reduce the morbidity and mortality.更多还原